When a call is made to 911, there are four levels of first responders that might be dispatched to the scene. ‘EMR’ stands for ‘Emergency Medical Responder,’ and these responders are the first level of first responders.
Certified EMRs work as park rangers, volunteer firefighters, daycare providers, lifeguards, security guards, coaches, and other similar professions. They can also provide emergency care and life-saving interventions until higher-trained emergency responders arrive.
The other levels of first responders include Emergency Medical Technicians (EMTs), Advanced Emergency Medical Technicians (AEMTs), and paramedics. Each level requires different training, National Registry of Emergency Medical Technicians (NREMT) exam prep, and certification.
A Closer Look at the EMR Role
EMRs are a vital part of the comprehensive EMS response system. In their training, they learn how to provide basic, immediate care to critically ill or injured patients until responders with advanced training arrive.
They can assist higher-level responders during emergencies and transportation to a hospital but don’t usually work in ambulances‒except in rural areas with volunteer Emergency Medical Service (EMS) departments.
Process to Become an EMR
To become an EMR, you must complete about fifty hours of training within two years. The program must be a state-approved course that meets the National Emergency Medical Services Education Standards for EMRs.
You must also have a valid, unexpired card that proves you completed a CPR-Basic Life Support for a Healthcare Provider class. A government representative will perform a psychomotor (skills) examination at your EMR training institution that tests your skills in person.
After you complete the course and have satisfied these requirements, the National Registry of Emergency Medical Technicians (NREMT) performs a background check, and you must then complete a knowledge exam. A non-refundable application fee must be paid every time you take the cognitive (knowledge) exam. Many emergency responders rely on the videos and other resources from The Paramedic Coach to help them prepare for the exam because this exam can be confusing and intense.
Why Certification Matters
The NREMT is the American EMS certification organization. It ensures all EMS personnel have the knowledge and skills to perform their job and safely provide the approved level of emergency medical care to critically ill or injured people.
The EMR cognitive exam evaluates candidate knowledge in five areas:
- Airway, respiration, and ventilation
- Cardiology and resuscitation
- Trauma
- Medical, obstetrics, and gynecology
- EMS operations
After passing the NREMT exam, you will understand what the medical symbol for an EMT is and receive a state-issued EMR license.
At the scene of an emergency, you may be required to perform first aid, splint a limb, help someone who has trouble breathing, respond to a diabetic emergency, take vital signs, provide lift assists, and help patients take their prescription medications.
When applying for EMR positions, ask what the shift pattern is for a paramedic and an EMR. This will give you an idea of the expectations surrounding the position.
Closing Thoughts
EMRs are often the first trained professionals at the scene of an emergency–they play a critical role in emergency medical care. Helping people in need and saving lives is challenging and rewarding work. A position as an EMR is also the launching point for traveling up the emergency services career ladder to become a paramedic.
